年龄友好的学习医疗保健系统:复制电子健康记录为4M护理的基于文档指标
Jorie M Butler1,2,3,4, Timothy W Farrell2,3, Megan Puckett2
1Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Journal of the American Geriatrics Society
|December 13, 2024
概括
犹他大学卫生部成功地调整了电子健康记录 (EHR) 指标,以评估老年患者的年龄友好的护理 (4Ms:重要的是什么,药物,思维和流动性). 这表明了EHR数据.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 犹他大学健康 (UUH) 致力于为老年人提供卓越的护理.
- 加利福尼亚大学旧金山分校 (UCSF) 为4Ms (重要的是什么,药物,思维,移动性) 开发了电子健康记录 (EHR) 指标,以提供适合老年人的护理.
- UUH与UCSF合作,在当地调整和实施这些EHR指标.
研究的目的:
- 复制和调整UCSF的EHR文档指标,以评估UUH的4M.
- 使用EHR数据评估年龄友好型护理服务的完整性.
- 确定关键的教训,以扩大对学术医疗中心的老年友好护理的评估.
主要方法:
- 适应了UCSF的EHR指标和SQL代码,用于UUH的当地临床环境和数据库系统.
- 评估了4Ms对65岁以上的患者的护理,这些患者于2019年1月至2021年12月期间入院UU医院.
- 进行了EHR查询的临床验证,以确保4Ms评估的准确性.
主要成果:
- 复制了16个EHR指标中的14个,并开发了5个复合指标.
- 分析了65岁及以上的16489名患者的25070例入院病例.
- 发现50%的患者遇到所有4M的管理,表明改善的空间在护理的完整性.
结论:
- 电子健康数据可以有效地衡量学术医疗中心4M护理实施的完整性.
- 适应EHR措施以适应当地临床活动,并让数据分析师参与,对于成功实施至关重要.
- 这项研究验证了使用EHR指标来改善老年友好型医疗保健系统的质量.
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